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Re: UK Pap rules was Sexual abuse was Spanking babiesFrom: GA12L@aol.comMon Feb 27 10:00:27 2006
In a message dated 27/02/2006 16:29:20 GMT Standard Time, RModugno@aol.com writes: Yeah, but YOU asked WHY we did this, Gail - is your ADHD acting up? ;+) Must be! And yes I did ask why because it's not done here. The NHS is too strapped for cash to screen every women for every infection or condition. We rely on them to tell us if they are worried about any symptoms they may have. It's their responsibility. I'm not saying that we are right and you are wrong, far from it. I'm sure that all these tests are paid for by medical insurance so if they're paying let 'em have it. Ours don't pay anything so a national screening programme wouldn't be cost effective. As we don't see many of the conditions and infections you mentioned it wouldn't be cost effective for the NHS. Women do tell us if anything is worrying them and then we act accordingly. If a woman presents with any condition that makes a pregnancy high risk then a plan is made in her notes. E.g., herpes = c/s if active at the time labour. Diabetic = sliding scale insulin when in labour. Epileptics are seen before pregnancy to change meds etc., etc. One previous section = trial of labour. Any STI's are refereed to the GUMed clinic and a plan formulated. But women can choose to opt out of any screening regardless of risk, infection, illness, etc. A woman who has had a previous section can have a home birth because no one is going to drag her out of her house when she's in labour. The differences between our healthcare and yours is vast and in the end it comes down to money. The NHS is too poor to screen every woman for every condition. Incidentally, I had a vets bill on Saturday, £665.00 ($1157.00). It was itemised and 10 mins operating time was £137.00 ($239.00) that's £822.00 ($1434.00) an hour I'm in the wrong job... Gail
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